MRS. STEPHANIE E MULLIN (MHS, CCC-SLP) – Speech-Language Pathologist, NPI 1205112000

MRS. STEPHANIE E MULLIN (MHS, CCC-SLP) is a healthcare provider. based in Dyer, Indiana. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials MHS, CCC-SLP. They hold a License No. SP 1190 (HI). The NPI Number for MRS. STEPHANIE E MULLIN (MHS, CCC-SLP) is 1205112000

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
MRS. STEPHANIE E MULLIN (MHS, CCC-SLP)
NPI
1205112000
Phone
(219) 322-2273
Address
601 SHEFFIELD AVE
Enumeration Date
25 October 2011
Last Update Date
15 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8083658128
Graduation Year
2007 (19 years ago)
PAC ID
0840601076
Group Practice PAC ID
9335566413
Professional Enrollment ID
I20201119001540
Address ID
HI967205290HI2148XSTXX300

Contacts

Other Endpoint
https://www.walaautherapy.com/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:14State licenses:2Other namesUpdated within 12 months

205 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in IN

Provider Addresses for MRS. STEPHANIE E MULLIN (MHS, CCC-SLP)

  • 601 SHEFFIELD AVE

    DYER, IN 463111167

    Phone: (219) 322-2273

    Type: Location

  • 9834 PARKWAY DR

    HIGHLAND, IN 463222781

    Phone: (708) 351-7783

    Type: Mailing

  • 297D KULANA ST

    HILO, HI 967202230

    Phone: (808) 494-8933

    Type: Mailing

  • 2148 AWAPUHI ST

    HILO, HI 967205290

    Phone: (808) 365-8128

    Fax: (808) 961-6383

    Type: Location

  • 601 Sheffield Ave

    Dyer, IN 463111167

    Phone: (219) 322-2273

    Type: Location

  • 1753 KILAUEA AVE

    D1

    HILO, HI 967208003

    Phone: (808) 494-8933

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-11-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201119001540IQualified Speech Language PathologistHITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46311)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335566413View full group profile
NameSpecialtyState
Qualified Speech Language PathologistHI

Reviews

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Frequently asked questions

How do I look up MRS. STEPHANIE E MULLIN (MHS, CCC-SLP) by NPI?
Use NPI 1205112000 when you need to reference MRS. STEPHANIE E MULLIN (MHS, CCC-SLP) in forms, claims, or directories.
Is MRS. STEPHANIE E MULLIN (MHS, CCC-SLP) active in the national directory?
MRS. STEPHANIE E MULLIN (MHS, CCC-SLP)'s public NPI profile is in an active state.
Does MRS. STEPHANIE E MULLIN (MHS, CCC-SLP) list a primary specialty?
If you are matching referrals, note Speech-Language Pathologist for MRS. STEPHANIE E MULLIN (MHS, CCC-SLP). Clinical services aligned with this taxonomy classification.
Where does public data place MRS. STEPHANIE E MULLIN (MHS, CCC-SLP)?
The snapshot lists Dyer, Indiana for MRS. STEPHANIE E MULLIN (MHS, CCC-SLP); download NPPES for the complete set.
What if Dyer, Indiana seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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